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HomeMy WebLinkAbout09-24-15 (2) NOTICE OF CLAIM (Filed Pursuant to 20 Pa.C.S. § 3532) COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF GARY HARLACHER , DECEASED No. 21-15-0898 To the Clerk of the Orphans' Court Division: Enter the claim of Phillips&Cohen Associates Ltd. on behalf of Citibank, N.A. in the amount of $ $730.04 ,against the above entitled Estate. The Decedent,who resided at 103 HERMAN AVE LEMOYNE, PA 17043-1936 died on 7 16 2015.Written notice of said claim was given to Kurt A Harlacher at 5 N 31st St Penbrook, PA 17109 on 09/18/2015. 1 4 Justison Street Wilmington, DE 19801 (Claimant's Counsel) (Supreme Court LD.No.) (Address) (Telephone) C ' C'1 © � C7 7 rn) C;) Form OC-07 rev.10.13.06 r7 i - (7 M W G7 C) STATE OF PA STATEMENT AND PROOF OF FILE NO: PROBATE COURT CLAIM 21-15-0898 CUMBERLAND COUNTY ESTATE OF GARY HARLACHER Cumberland County Register of Wills One Courthouse Square, Room 102 Carlisle, PA 17013 Phillips & Cohen Associates, Ltd., located at 1004 Justison Street, Wilmington, Delaware 19801 ail behalf of Citibank, N.A. submit the following claim against the estate for the sura set forth. DESCRIPTION VALUE Account#: XXXXXXXXXXXX7051 Amount Due: $730.04 PCA File#: 20618489 There is now due on the claim, including applicable legal set-offs, the $730.04 sum of:' Notice to interested parties: This is a claim for services rendered and/or goods provided. This claim will be allowed unless notice of an objection by an interested person is delivered or mailed to the court,personal representative and creditor at below address. I declare that this claim has been examined by a representative of Phillips & Cohen Associates, Ltd., and that its contents are true to the best of my information, knowledge and belief. Author' d Signature' Elizablh Hansen, Manager Phillips & Cohen Associates,Ltd. The Creditor's Rights &Bankruptcy Group A Division of Phillips & Cohen Associates, Ltd. 1004 Justison Street . Wilmington, Delaware 19801 - Telephone: (866) 342-4270 _ .. Fee$10 PROOF OF SERVICE OF CLAIM I served upon the Estate of GARY HARLACHER, a copy of this claim on 09/18/2015 via United States Postal Service to: Kurt A Harlacher 5N31stSt Penbrook, PA 17109 I served upon the Estate of GARY HARLACHER, a copy of this claim on 09/18/2015 via United States Postal Service to: Cumberland County Register of Wills One Courthouse Square, Room 102 Carlisle, PA 17013 It is declared that this claim has been examined by a representative of Phillips & Cohen Associates, Ltd. and that its contents are true to the best of our information,knowledge, and belief. 9 09/18/2015 Date Sign re Eli eth Hansen, Manager ACCEPTANCE OF SERVICE Service of the attached claim is accepted. Date Signature The following account summary is provided: SUMMARY OF ACCOUNT 1. ACCOUNT NUMBER: XXXXXXXXXXXX7051 2. NAME IN WHICH CARD ISSUED: GARY HARLACHER 3. OPEN DATE: 07/01/1985 4. REGARDIN,G: CITI MASTERCARD 5. FINAL BALANCE: $730.04 6. PRIMARY USE OF CARD: Purchases for goods and/or services